James Jura, MD
Psychiatry · Saint Joseph, MONPI 1588698948
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.3% of the total across 737 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 13.0% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $2,551, 2.5 times the $1,015 reported in 2019. Among psychiatry clinicians in MO with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 737 payments — averaging $17.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Otsuka America Pharmaceutical, Inc.$2K
- Johnson & Johnson$2K
- AbbVie$1K
- Vanda Pharmaceuticals Inc.$1K
- Neurocrine Biosciences, Inc.$1K
- Alkermes, Inc.$1K
- plus $5K from 17 others
What the payments were for
- Travel & lodging$160%
- Food & beverage$12,84498%
- Education$2092%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 91 | $1,701 |
| Johnson & Johnson | 100 | $1,663 |
| AbbVie(2 entities) | 91 | $1,362 |
| Vanda Pharmaceuticals Inc. | 50 | $1,275 |
| Neurocrine Biosciences, Inc. | 72 | $1,129 |
| Alkermes, Inc. | 47 | $1,097 |
| Sunovion Pharmaceuticals Inc. | 61 | $1,070 |
| Teva Pharmaceuticals USA, Inc. | 78 | $1,068 |
| ITI, Inc. (d/b/a Intra-cellular Therapies, Inc.) | 52 | $994 |
| Takeda Pharmaceuticals U.S.A., Inc. | 25 | $375 |
| E.r. Squibb & Sons, L.L.C. | 12 | $330 |
| Axsome Therapeutics, Inc. | 19 | $308 |
| Lundbeck LLC | 13 | $274 |
| Supernus Pharmaceuticals, Inc. | 13 | $218 |
| Eisai Inc. | 4 | $63 |
| Corium, LLC | 2 | $31 |
| Upsher-smith Laboratories LLC | 1 | $18 |
| Shire North American Group Inc | 1 | $18 |
| Avanir Pharmaceuticals, Inc. | 1 | $17 |
| Almatica Pharma LLC | 1 | $17 |
| Adlon Therapeutics L.p. | 1 | $15 |
| Merck | 1 | $14 |
| Idorsia Pharmaceuticals US Inc | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- SPRAVATO$255
- ABILIFY MAINTENA$242
- ABILIFY ASIMTUFII$124
- COBENFY$124
How this compares
$13,069 in reported general payments places this provider in the 90th percentile of 680 psychiatry providers in Missouri.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| AustedoDeutetrabenazine | 47 | $436,976 |
| Invega SustennaPaliperidone Palmitate | 54 | $171,680 |
| IngrezzaValbenazine Tosylate | 21 | $145,600 |
| VraylarCariprazine Hcl | 84 | $123,534 |
| AristadaAripiprazole Lauroxil | 26 | $68,137 |
| Abilify MaintenaAripiprazole | 20 | $59,403 |
| Lurasidone Hcl | 163 | $55,808 |
| Chlorpromazine Hcl | 136 | $32,095 |
| EmsamSelegiline | 14 | $30,088 |
| Aripiprazole | 243 | $14,015 |
| Quetiapine Fumarate | 639 | $13,999 |
| TrintellixVortioxetine Hydrobromide | 15 | $11,766 |
| Divalproex Sodium ErDivalproex Sodium | 232 | $11,425 |
| Bupropion XlBupropion Hcl | 406 | $10,022 |
| Thiothixene | 110 | $9,439 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| Teva Pharmaceuticals USA, Inc.Austedo | $1,068 | $436,97647 claims |
| Johnson & JohnsonInvega Sustenna | $1,663 | $171,68054 claims |
| Neurocrine Biosciences, Inc.Ingrezza | $1,129 | $145,60021 claims |
| AbbVieVraylar | $1,362 | $123,53484 claims |
| Alkermes, Inc.Aristada | $1,097 | $68,13726 claims |
| Otsuka America Pharmaceutical, Inc.Abilify Maintena | $1,701 | $59,40320 claims |
| Takeda Pharmaceuticals U.S.A., Inc.Trintellix | $375 | $11,76615 claims |
| Almatica Pharma LLCSertraline Hcl | $17 | $2,921328 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 90th percentile of 680 psychiatry providers in Missouri.
Other psychiatry in Saint Joseph
- Gregory MattingleySaint Charles$4.7M
- Vadim BaramSaint Louis$1.9M
- Adam SkySaint Louis$1.1M
- Mohd MalikSaint Louis$956K
- Brian BarashKansas City$856K
- Casey ProughLees Summit$615K
- George GrossbergSaint Louis$501K
- Shahid InsafBranson$416K
- Ahmed TaranissiMexico$343K
- Ravdeep KhanujaPoplar Bluff$310K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.